| NPI | 1194965640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN FONSECA Medical Director 818-705-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor Orthopedic (Licence: CA A85704) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |